Wayne S Blake D.O.

NPI 1588661185 - Internal Medicine - 207R00000X

NPI Details
NPI 1588661185
Gender Male
Enumeration Date 06/28/2005
Last Updated 06/26/2014
Entity Type Individual
Active Over 12 years ago
Practice Location
SARASOTA FL, 34239-3509, US
Phone (941) 917-2342
Fax (941) 917-4178
Business Location
PO BOX 863407
ORLANDO FL, 32886-3407, US
Phone (941) 917-2600
Fax (941) 917-7884
Taxonomy Code 207R00000X
License State Florida
License Number OS 10255
Remove 1588661185 NPI Number

According to our database, Dr. Wayne S Blake D.O. NPI is 1588661185, taxonomy code is 207R00000X and license number is OS 10255, license state is located at Florida. Wayne S Blake D.O. physically located at 1700 S Tamiami Trl, Sarasota FL, 34239-3509. NPI Number Wayne S Blake D.O. has the Individual type.

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1588661185 NPI number is provided on an as is basis without warranty of any kind. 1588661185 is maintained by the National Plan & Provider Enumeration System. The contents of Wayne S Blake D.O. are for informational purposes only.